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differential rheumatology management endocarditis infectiousdiseases symptoms vasculitis algorithm antibody arteritis autoimmune classification effusion erythematosus gca giantcell hemolytic hemopericardium hemorrhagic infections
Warm Antibody Autoimmune Hemolytic Anemia 1) DIAGNOSE AIHA • Anemia: macrocytic > normocytic, ↑ reticulocytes •
1) DIAGNOSE AIHA ... reticulocytes • Hemolysis ... 2) LOOK FOR a cause ... → Systematic screening ... #treatment #rheumatology
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
Endocarditis, Aortic ... ) Blood (75%): Anemia ... erythematosus #signs ... #symptoms #diagnosis ... #rheumatology
Systolic Murmurs - Differential Diagnosis Algorithm Benign / Flow / Hyperdynamic: • Pregnancy • Fever • Anemia Supravalvular
Systolic Murmurs ... - Differential Diagnosis ... • Fever • Anemia ... #Murmurs #Cardiology ... #Algorithm #causes
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology Pulse pressure is the difference between the systolic blood
- Differential Diagnosis ... disorders: - Aortic ... regurgitation - Aortic ... iron deficiency anemia ... #cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
- Differential Diagnosis ... infarction • Aortic ... OTHER RARE CAUSES ... HHT • Primary systemic ... #cardiology
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... signs/sx of inflammation ... complaints- anemia ... identifies 85 to 95% of cases ... GCA #Temporal #Signs
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... Vascular: • Systemic ... Septic Emboli Cause ... Leukocytosis, anemia ... #management #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Limited laboratory testing ... disease (e.g., aortic ... Anticholinergics Systemic ... Hyperthyroidism • Anemia ... #Palpitations #Cardiology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... < 30 years • Aorta ... Arteritis): • Aorta ... tract, and often causes ... #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- Differential Diagnosis ... tract, and often causes ... < 30 years - Aorta ... purpura: strong sign ... #rheumatology #
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